Individual
DR. JAY SUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
24.000017
OH
2085R0202X
Diagnostic Radiology Physician
346214
LA
2085R0202X
Diagnostic Radiology Physician
Primary
OS11094
FL
Other
Enumeration date
10/12/2005
Last updated
04/28/2025
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